Key for Costliest Health Plan Members and Employee Claimants
By Pam Greenhouse
The total cost of chronic disease in American between 2016-2030 is projected to be $42 trillion, according to the Partnership to Fight Chronic Disease, with $8,600 per person in medical and productivity cost if current trends continue.
The U.S. Department of Health and Human Services Agency for Healthcare Research and Quality reports that over half of Americans are living with at least one chronic condition and nearly a third have multiple chronic conditions including congestive heart failure, diabetes, arthritis, and depression. Individuals with multiple chronic conditions are also the costliest patients, and costs increase with the number of chronic conditions: In 2010, nearly 40% of all inpatient hospital stays were for those with 5+ chronic conditions.
While these costs have skyrocketed for decades unabated, we have reached a tipping point where the evolution of mobile technology combined with video health coaching can address both the cost and quality challenges this population presents.
In the late 1990s-early 2000s, disease management programs (DMPs) began to proliferate, driven by managed care and capitation, with the aim of lowering the cost of care for chronic disease. But the challenges of patient enrollment and compliance have been significant and DMPs haven’t reached their potential. In fact, a not-insignificant number of companies have given up on DMPs for these reasons.